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*** = Required Information

How did you hear about Campus Kids?    

 

Which camp are you most interested in?  

 

*** Parent's Name:

          

 

 

*** Street Address:

            Apt #:  

 

 

 

 *** City:

   

*** State:            *** Zip Code:   


 

Optional information about your prospective camper(s):

 

 

 

 

Child's Name:

                 Age this summer?

 

 

 

 

Grade Next September:     Previous camp experience:

 

 

Child's Name:

        Age this summer?

 

 

 

 

Grade Next September:     Previous camp experience:

 

 

Child's Name:

        Age this summer?

 

 

 

 

Grade Next September:     Previous camp experience:

   

Any comments or questions?
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